Associations of state or trait dissociation with severity of psychopathology in young people with borderline personality disorder.

IF 4 2区 医学 Q1 PSYCHIATRY
Ashleigh P Salmon, Katie Nicol, Michael Kaess, Martina Jovev, Jennifer K Betts, Andrew M Chanen
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Abstract

Background: State and trait dissociation are associated with borderline personality disorder (BPD) severity and severity of commonly co-occurring mental health symptoms. Although these distinct constructs do not consistently co-occur in experimental settings, they are frequently reported as the same construct, namely dissociation. This study aimed to investigate the co-occurrence of state and trait dissociation among young people with BPD and to examine whether state or trait dissociation were associated with symptom severity in this population.

Methods: State dissociation was induced using a stressful behavioural task in a clinical sample of 51 young people (aged 15-25 years) with three or more BPD features. Diagnoses, state and trait dissociation, BPD severity and severity of posttraumatic stress disorder (PTSD), depressive, and stress symptoms were assessed by self-report or research interview.

Results: A chi-square test of independence showed a strong association between state and trait dissociation. Bonferroni corrected t-tests showed that state dissociation was significantly associated with PTSD symptom severity and likely associated with BPD severity and severity of depressive and stress symptoms. Trait dissociation was not associated with symptom severity or severity of BPD features.

Conclusions: These findings highlight the need to distinguish between state and trait dissociation in personality disorder research. They suggest that state dissociation might be an indicator of higher severity of psychopathology in young people with BPD.

Abstract Image

边缘型人格障碍青少年精神病理严重程度与状态或特质分离的关系
背景:状态和特质分离与边缘型人格障碍(BPD)的严重程度和常见的共同发生的精神健康症状的严重程度有关。虽然这些不同的构念并不总是在实验环境中同时出现,但它们经常被报道为相同的构念,即分离。本研究旨在探讨状态性和特质性分离在年轻BPD患者中的共同发生情况,并探讨状态性或特质性分离是否与该人群的症状严重程度相关。方法:在51名具有三个或更多BPD特征的年轻人(15-25岁)的临床样本中,使用应激行为任务诱导状态分离。诊断、状态和特质分离、BPD严重程度、创伤后应激障碍(PTSD)严重程度、抑郁和应激症状通过自我报告或研究访谈进行评估。结果:独立性卡方检验显示状态解离和特质解离之间有很强的相关性。Bonferroni校正t检验显示,状态分离与PTSD症状严重程度显著相关,并可能与BPD严重程度、抑郁和应激症状严重程度相关。特质分离与症状严重程度或BPD特征严重程度无关。结论:这些发现强调了在人格障碍研究中区分状态解离和特质解离的必要性。他们认为,状态分离可能是年轻BPD患者精神病理更严重的一个指标。
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来源期刊
CiteScore
6.00
自引率
9.80%
发文量
30
审稿时长
28 weeks
期刊介绍: Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.
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